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Home My WebLink AboutPermit Plumbing 1995-03-24t PFtII{GFIELE, RESIDENTIAL PEBM}T APPL}CATION lnspections: 726-3769 Of tice; 726-3759 LOCATION OF PROPOSED WQRK: 'h, JoB NUMBER 7V? 2 /:7 9) Filtx cr,^^r Springfleld, Oregan 97 477 So "d 0 I ly*oFrs MAP;TAX LO].-ez€le? LOT:BLOCK:SUBDIVISION 1eb- taqbPHONE: nR. _ZIP:I STATE: S+,l3q5 So , A CITY: ADDRESS: OWNEFI: DESCRIBE WORK:f *s\a\tcI ft*L.'.r b"jtia-, oP 3d tst"or 2 ADDITION DEMOLISH OTHERNEW - REMoDEL -Z EXPIRES PHONEADDRESSEugo*e \+ oD -q5 CONTRACTOR'S NAME MECHANICAL:'B*l ELECTRICAL: CONST. CONTFIACTOR # GENERAL: PLUMBING r OF BDRMS: - OFFICE USE - LAND USE: ZONING CODE: FLOOD PLAIN WATER HEATER * OF UNITS: RANGE: SECONDARY HEAT: SOUARE FOOTAGE: QUAD ABEA: , OF BLDGS OCCY GROUP: I OF STORIES: CONSTR. TYPE HEAT SOURCE: To request an inspecilon, you must call 726.3769. This is a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be made the sanre working day, lnspections requested after 7:00 a.m. wlll be made the following work day. REOUIRED INSPECTIONS Temporary Electric f4 Roush Mechanlcal - Prior tou cover. f#ougn Electrical - Prior tolJ cover. fdrhd Plumbing - When alll.J plumbing work is complete. ffilnal Electrical - When allt.J electrical work is comPlcte. Site lnspection - To be made after excavation, but Prior to setting forrrts. Understab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtaln Permanent electrlcal power. Flnal Mechanical - When all mechanical work ls comPlete, Footing - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsP. Flnal Building - When all required lnsPections have been approved and building is completed.Masonry - Steel locatlon, bond beams, grouting.fframlng - Prlor to cover. Other Foundatlon - After forms are erected but Prior to concrete placement. Wall/Ceiling lnsulation - Prlor to cover. Underground Plumbing - Prior to filling trench.MOBILE HOME INSPECTIONS Underlloor Plumblng/ Mechanical - Prior to insulatlon or decking. Post and Beam - Prior to lloor insulation or decking.lnsert - After flrePlace approvql and installatlon of unlt. Blocking and Set.UP - When all blocking is comPlete. Floor lnsulation - Prior to decking.Curbcut & APProach - After forms are erected btlt Prior to placemont of concrete. Plumbing Connections - When home has been connected to water and sewer. SanitarY Sewer - Prior to f illing trench.Sidewalk & Driveway - After excavation ls complete, forms and sub-base material in Place. Electrical Connection - When blocking, set-uP, and Plumbing lnspections have been aPProved and the home is connected to the service Panel. Storm Sewer - Prior to lilling trench. Waler Line - Prior to lilling trench. uf [-_l Fence - When comPleted' {' Final - After all required inspectlons are aPProved and porches, skirtlng, decks, and ventlng have been installed.Bough Plumbing - Prior to cover. Str€€t Treos - When all required trees are Planted. q141-7 E r E tl E tl E E E E E E E firvwatl - Prlor to taPlng. l--l Wood Stovo - After lnstallation' n tl V Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Ty - lnterior - Corner - Panhandle - Cul-de-sac backs PL.HSE GAR ACC N S E IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be signedand approved by the Historical Coordinator prior to permit issuance. APPROVED: BUILDING PERMTT VALUE t',f7 kze€- (A) SQ. FT. X $/SQ. FT.ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee qqt_LDtNG VALUE, PLAN CHECKAND BUILDING PERMIT This permit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, inctuding theDevelopment cocre, regurating the Jonstruction and use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances. Plan Check Fee: _=---- Date Paid: Receipt Number:-._ DatePlans Rcviewecj By Received By: s DEVELOPMENT CHARGE (SDC) (B) SYSTEM Systems Developmcnt Charge is due on all undevelopedproperties within ilre City limits which are being improved. ITEM Fixtures Residentiat Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE N0 (c) 2AP -4 FT. FT, FT. /2 71872 .?a Plumbing permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/Flreplace Unit Dryer Vent MECHANICAL PERMIT (D) -a> N0 Mechanical permit lssuance Stale Surcharge Total Permit /2,r. 14 Fu rnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have caref ully examinedthe completed application and do hereby certify that alllnformation hereon is true ancl correct, and I f urther certifythat any and all work performed shall be done in accordancewith the Ordinances of the City of Springfietd, and the Lawsof the State of Oregon pertaining to the work describedherein, and that NO OCCUPANCy will be macle of anystructure without perrnission of the Building Safety Divislon.I further certify that only contractors and employees whoare in compllance with ORS 7O1.OSS will be used on lhisproiect. I further agree to ensure that all required inspections arerequested at the proper ilme, that each address is readablefrom the street, that the permit card ls rocated at the frontof the property, and the approved set of plans will remainon the site at all times during construction. q5t{-1-& Slg natu re Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk tt Curbcut tt Demolition State Surcharge (E)Total Miscellaneous Permits TOTAL AMOUNT DUE (exclu.ding etectrica,) //7,/T(A, B, C, D, and E Combined) DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER - G - 3-2 CITY OF onEGrrff Pe= - zoning, and doeg not req rB gpac approval a_ :? DESCKTPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if tork ls suspended for L80 days. 2. CONTRACf,OR INSTALI"ATION-ONLY Electrical Contract Address Ci ty Phone Supervisor icense Number Expiration Date c Constr Contr. Number Bxpiration Date Signa ture of SuPerv trician EIJCTRICAL PERHIT APPLICATION A. Nev Residential-Single or Multi-FamilY Per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less/ Each additional 500 sq. ft or Portion thereof Each Manuf'd Home or Moddlar.'Dvellirrg Sertice or Feeder $ 8s.00 Services or Feeders Installation, Alterations or Relocation: I SPRINGFIELD 0ver 401 to 600 Over 600 amPs o 200 amps or less 201 amps to 400 amPs - 401 amps to 600 amPs - 601 amps to 1000 ?mPs- Over 1000 amPs/volts - Reconnect 0n1Y 7 Zon 225 FIfrE STREET oREGoN 97471 oaelL4fii- SPRINGTTELD INSPBCTION REQUBSTz 726-316t$rtreo Slgndrnc ,/ /,r' . , - CitY Jo b Number OFFICE: 726-3759 3. COUPIATE TBE SCEEDTII,E BELOS 1 LOCATION OP Sum s 1s.00 s 40.00 s300. $ 40. B $ $ $ s 100 130 00 00 00 00 00 00 50. 60. Temporarv Services or Feeders -i."[.ii.ii"t, Alteration or Relocation 200 amps or less 201 amPs to 400 amPs - sr1 vo ts 40.00 55.00 80.00 ee I'B, a666 $ $ $ s The installation is being made on property I ovn vhich is not intended ior'sale, lease or rent' Ovners Signature: D. Branch Circuits Nev, Alteration or Extension Per Panel one circuit _/s 3s.oo Z€ Each Additional Circuit or vith Service= or Feeder ,:illto='"'-} $ 2'oo I E. Miscellaneous (Service/feeder not included) -Each installationP;;""; iiiieatio" S 4o'oo iieizo".ri""'iier'ting-- S 40'oo Limited nneigY/il'es -- $ 20'99 SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL Owners Name Address Ci ty OVNER DATE: . Phone ?zlAzf ,z> 5 3 BRECEIVED IJGAL DESCRIPTION /F'o7'o2-2?A 3